Single and double autotransplants for relapsing/refractory Hodgkin's disease: results of two consecutive trials. Academic Article uri icon

Overview

abstract

  • To evaluate a strategy of one cycle of dose-intensive chemotherapy for patients with Hodgkin's disease in sensitive relapse and two cycles for those with refractory disease, 122 patients received dose-intensive chemotherapy followed by autotransplant in two consecutive studies. Patients with refractory disease were offered a second transplant with different conditioning in the absence of progression or excessive toxicity. CR was present after treatment in 46% while 16% died in the peritransplant period. Of 41 patients with primary refractory disease and 42 with refractory relapse, 24 and 21 respectively received a second cycle. Of these 45 refractory patients, 12 were in CR and 11 in PR after the first cycle and 10 of these 11 in PR achieved a durable CR with the second transplant. The CR rate is 37% in patients with refractory relapse and 19% in those with primary refractory disease. At a median follow-up of 4 years, median survival is 45 months. Progression-free survival of the refractory patients who could receive a second cycle was similar to that of patients with sensitive disease. A sequential transplant strategy is feasible. A subgroup of patients with refractory disease can achieve long-term survival after sequential BMT.

publication date

  • March 1, 1997

Research

keywords

  • Antineoplastic Combined Chemotherapy Protocols
  • Bone Marrow Transplantation
  • Hodgkin Disease

Identity

Scopus Document Identifier

  • 0031040310

PubMed ID

  • 9052910

Additional Document Info

volume

  • 19

issue

  • 5